Quality Assurance Supplier Survey/Audit Form

Form # Supplier Survey Rev. 04 1 of 7

Supplier:

Address: Supplier Representative:

City/State: Title/Position: Zip: Date of Completion: / /

Quality Systems Third Party or Customer Approval Major Customers Number of Personnel Production Quality Support Inspection Engineering Other Total Plant Area

Lead Auditor Department Auditor Department Auditor Department

For Modern Industries Use Only

Survey Disposition:

Re-surveyed and Approved: Yes Date:____________ Auditor Name:__________________ Reason for Conditional Approval: __________________________________________________________________________________________ __________________________________________________________________________________________

Reason for Disapproval: __________________________________________________________________________________________ __________________________________________________________________________________________

Approved to Manufacture or Service Only: __________________________________________________________________________________________ __________________________________________________________________________________________

Survey Status Notification Presented to Supplier During Audit Yes No If No: Date Survey Status Sent to Supplier:_______________ Auditor Name:___________________

ISO-9001 / 2 AS-9100 D1-9000 SSQA Yes No Yes No Yes No Yes No

Customer Name Last Surveyed

Approved Conditional Approved Disapproved Yes No Yes No

Date Expires____________ Date Expires____________

Form # Supplier Survey Rev. 04 2 of 7

Survey / Audit Categories CATEGORY I QUALITY ASSURANCE ORGANIZATION AND PLANNING................... 3

CATEGORY II INITIAL QUALITY PLANNING ...................................................................... 3

CATEGORY III INSPECTION AND TEST DOCUMENTATION ............................................ 3

CATEGORY IV RECORD RETENTION...................................................................................... 3

CATEGORY V CORRECTIVE ACTION.................................................................................... 4

CATEGORY VI DRAWING, DOCUMENTATION AND CHANGES....................................... 4

CATEGORY VII MEASURING AND TEST EQUIPMENT......................................................... 4

CATEGORY VIII PURCHASE RESPONSIBILITY....................................................................... 5

CATEGORY IX MATERIALS AND MATERIALS CONTROL................................................ 5

CATEGORY X PRODUCTION PROCESS CONTROL............................................................ 5

CATEGORY XI FINAL INSPECTION.......................................................................................... 5

CATEGORY XII STOCKROOM CONTROL................................................................................ 6

CATEGORY XIII PACKAGING, MARKING AND SHIPPING................................................... 6

CATEGORY XIV NONCONFORMING MATERIAL ................................................................... 6

CATEGORY XV STATISTICAL SAMPLING .............................................................................. 6

CATEGORY XVI FACILITIES/HOUSEKEEPING ....................................................................... 6

CATEGORY XVII, SPECIAL PROCESSES ...................................................................................... 7

Survey Notes:

a) Items noted in the P column, on the following pages, indicates a deficient area identified during the performance of the survey/audit.

b) A certificate showing third party approval / compliance to either ISO-9001 / 2 or AS-9100 will satisfy the quality systems portion of the survey.

c) Recognition by the Boeing Aircraft Company showing compliance to D1-9000 will satisfy the quality systems portion of the survey.

d) Recognition by Applied Materials showing compliance ISO-9001 / 2 or SSQA will satisfy the quality systems portion of the survey.

e) Recognition by NADCAP showing compliance to a specific special process will satisfy the audit requirements for that process. At a minimum handling, calibration, process control steps, and required logs shall be verified.

Form # Supplier Survey Rev. 04 3 of 7

Category I Quality Assurance Organization and Planning Yes No N/A P A Is the suppliers system of the Quality Assurance adequately described in approved

written procedures/instructions/policies? 1 1 1 1

B Are procedures/instructions/policies maintained current and made available to all concerned personnel?

1 1 1 1

C Has the responsibility for Quality Assurance/Inspection been formally established? (Organization Chart)

1 1 1 1

D Does the Quality Assurance/Inspection Department have the freedom to satisfactory perform the quality functions and meet customer requirements?

1 1 1 1

E Is a periodic review of the quality program performed by management? 1 1 1 1 Comments:

Category II Initial Quality Planning Yes No N/A P A Does the Quality Assurance/Inspection Department prepare quality plans to

implement identified quality requirements. 1 1 1 1

B Does the Quality Assurance/Inspection review manufacturing processes, contract reviews, packaging, inspection / test instructions to assure customer requirements.

1 1 1 1

Comments:

Category III Inspection and Test Documentation Yes No N/A P A Are inspection instructions available current and used? 1 1 1 1 B Do the inspection instructions contain accept/reject criteria? 1 1 1 1 C Is completed product subject to inspection and test in accordance with the applicable

drawings, specification, inspection instructions, etc. 1 1 1 1

Comments:

Category IV Record Retention Yes No N/A P A Are records maintained for a minimum of 3 years or required by customer contract? 1 1 1 1 B Do inspection records and test records reflect number of observations made, as well

number of defects and types? 1 1 1 1

C Are records used by management to evaluate manufacturing processes and/or quality programs?

1 1 1 1

Comments:

Form # Supplier Survey Rev. 04 4 of 7

Category V Corrective Action Yes No N/A P A Does the supplier have a system that assures prompt and appropriate corrective

action when required? 1 1 1 1

B Are all corrective actions documented? 1 1 1 1 C Is the system applicable to all elements of the quality programs (i.e. design,

purchasing, manufacturing, etc)? 1 1 1 1

D Does the corrective action system extend to the suppliers vendors? 1 1 1 1 E Are trend analysis used to prevent recurrence of the discrepancy? 1 1 1 1 F When corrective actions are instituted, is their effectiveness monitored? 1 1 1 1 Comments:

Category VI Drawing, Documentation and Changes Yes No N/A P A Does the suppliers documented system assure that all manufacturing processes are

performed in accordance with the latest applicable revision of the drawings or specifications?

1 1 1 1

B Is there a system in place to control the use of old revision drawings, marked up or illegible drawings?

1 1 1 1

C When applicable, is Copy Exact training performed and documented on a recurring basis

1 1 1 1

D Is there a system in place to prohibit the deviation of a purchase order requirement? (i.e. verbal instructions) Explain.

1 1 1 1

Comments:

Category VII Measuring and Test Equipment Yes No N/A P A Does the suppliers quality system assure that inspection measuring and test

equipment, process control devices and tooling used for media of acceptance are inspected and calibrated at required intervals in accordance with the requirements of a calibration specification. Please indicate calibration specification. Calibration Specification:_________________________________

1 1 1 1

B Is all such equipment identified and traceable to individual records attesting to the last calibration, calibration due date, the requirement for calibration?.

1 1 1 1

C Are the reference standards which are employed in the inspection and calibration of equipment, currently certified and traceable to NIST?

1 1 1 1

D Are un-calibrated or outdated items identified and stored in a manner as to prevent their use pending calibration?

1 1 1 1

E Does the supplier maintain written instructions/procedures providing detailed methods for calibration?

1 1 1 1

F Is the measuring and testing equipment used by the supplier adequate to control the products involved?

1 1 1 1

G Are personally owned tools calibrated and controlled when used for product acceptance?

1 1 1 1

Comments:

Form # Supplier Survey Rev. 04 5 of 7

Category VIII Purchase Responsibility Yes No N/A P A Does the supplier have a system for selecting qualified vendors? 1 1 1 1 B Does the supplier re-audit those vendors not performing to a quality acceptance rate? 1 1 1 1 C Does the suppliers procurement system allow for information feedback and early

correction of vendor nonconformance? 1 1 1 1

D Does the suppliers purchase order to sub-tier sources clearly state applicable specification and/or approved secondary processes?

1 1 1 1

E Do purchase orders reflect the revision number and effective dates? Comments:

Category IX Materials and Materials Control Yes No N/A P A Are purchased supplies or products inspected upon receipt to assure conformance to

drawings or customer specification? 1 1 1 1

B Is incoming raw materials adequately identified and certified? 1 1 1 1 C Are certified raw materials stored in a controlled area, separated from uncertified

material and protected from damage and corrosion? 1 1 1 1

D Is raw material issued and remnant controlled? 1 1 1 1 E Are all remnant material properly identified and controlled? 1 1 1 1 F Is customer furnished material controlled by identification and segregated? 1 1 1 1 Comments:

Category X Production Process Control Yes No N/A P A Are process control procedures integrated as part of the inspection system when

called out in the contract? 1 1 1 1

B Does the supplier have a predictable manufacturing process documented? 1 1 1 1 C Are periodic measurements and/or testing performed on critical dimensions or

processes? 1 1 1 1

Comments:

Category XI Final Inspection Yes No N/A P A Are final inspections, evaluations, and test performed by inspection personnel? 1 1 1 1 B Are final inspection reports filled out for product and forward to customer with each

delivery? 1 1 1 1

C Does the inspection department have the freedom to report and reject nonconformance material?

1 1 1 1

Comments:

Form # Supplier Survey Rev. 04 6 of 7

Category XII Stockroom Control Yes No N/A P A Is a controlled area maintained for the storage of production supplies and materials? 1 1 1 1 B Is the identity and status of stored material clearly established? 1 1 1 1 C Are materials protected from damage, corrosion, and deterioration? 1 1 1 1 Comments:

Category XIII Packaging, Marking and Shipping Yes No N/A P A Are items checked for damaged and part prior to packaging and shipping to

customer? 1 1 1 1

B Prior to shipping is paper work audit to assure that all processes, inspection points, part markings and certification accompany the parts?

1 1 1 1

C Is documented evidence of such controls maintained? 1 1 1 1 Comments:

Category XIV Nonconforming Material Yes No N/A P A Does the suppliers quality system provide the formal controls for documenting

nonconformance of materials, including the ability to identify and segregate products?

1 1 1 1

B Does the supplier maintain records of rejected items? 1 1 1 1 C Does the supplier maintain a separate hold area for nonconforming part and is area

controlled? 1 1 1 1

D Is the customer notified of nonconforming material? 1 1 1 1 Comments:

Category XV Statistical Sampling Yes No N/A P A Does the supplier perform sampling inspection per the MIL-Std-105 or other

approved plan? 1 1 1 1

B Does the sampling inspection plan (other 100%) classify the various characteristics and define levels of sampling?

1 1 1 1

Comments:

Category XVI Facilities/Housekeeping Yes No N/A P A Are manufacturing process areas clean, orderly and adequately lighted? 1 1 1 1 B Are inspection areas clean, orderly and adequately lighted? 1 1 1 1 C Are dangerous chemicals identified and properly stored? 1 1 1 1 D Are MSDS s visible and readily available? 1 1 1 1 Comments:

Form # Supplier Survey Rev. 04 7 of 7

Category XVII Special Processes

Check the following process the supplier is qualified to perform: Specification Compliance Yes No

A Anodizing 1 1 B Brazing 1 1 C Chem Film 1 1 D Cleaning: 1 1 E Non Destructive Testing: Magnetic Particle 1 1 E Non Destructive Testing: Radiographic 1 1 E Non Destructive Testing: Liquid Penetrant 1 1 F Non Destructive Testing: Pressure 1 1 G Dry Film Lube 1 1 H Electro Polish 1 1 I Heat Treat 1 1 J NDT. Zyglo, Magnetic Inspection 1 1 K Painting 1 1 L Passivation 1 1 M Plating, Gold, 1 1 N Plating, Nickel 1 1 O Plating, Silver 1 1 P Plating, Zinc 1 1 Q Selective Nickel Plating 1 1 R Welding: E-Beam 1 1 S Welding: GTAW 1 1 T Welding: Orbital 1 1 U Welding: Resistance 1 1 X Other 1 1 Y Other 1 1 Z Other 1 1 Each process being approved shall have documented evidence that shows compliance to the customers requirements that prompted the survey. Attach process check sheets and other supporting evidence that substantiates process approval. Comments: